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1295385383 NPI number — MRS. JASMINE CHRISTINA MARTINEZ

NPI Number: 1295385383
Health Care Provider/Practitioner: MRS. JASMINE CHRISTINA MARTINEZ

Information about “1295385383” NPI (MRS. JASMINE CHRISTINA MARTINEZ) exists in 1295385383 in HTML format HTML  |  1295385383 in plain Text format TXT  |  1295385383 in PDF (Portable Document Format) PDF  |  1295385383 in an XML format XML  formats.

NPI Number : 1295385383 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295385383",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTINEZ",
    "FirstName": "JASMINE",
    "MiddleName": "CHRISTINA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "19227 3RD AVE S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DES MOINES",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98148-2113",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-401-8808",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1033 SW 152ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURIEN",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98166-1845",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-588-2985",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2019",
    "LastUpdateDate": "09/19/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "175T00000X",
          "TaxonomyName": "Peer Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175T00000X",
          "TaxonomyName": "Peer Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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